Organization Active NPI

Whole Woman Fitness LLC

  • Health & Wellness Coach
  • Evanston, IL
National Provider Identifier
1174479612
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
WHOLE WOMAN FITNESS LLC
Practice address
2223 Washington St
Evanston, IL 60202-1557
Phone
(773) 242-7558
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Neticia Waldron, CPT, BSHA, MINISTER
Title
Owner
Phone
(773) 416-0899

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

2223 Washington St
Evanston, IL 60202-1557

Mailing address

1716 Emerson St
Evanston, IL 60201-3438
Phone (773) 416-0899

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1174479612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 EMERSON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013438",
            "telephone_number": "773-416-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 WASHINGTON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021557",
            "telephone_number": "773-242-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE WOMAN FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "NETICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-416-0899",
        "authorized_official_credential": "CPT, BSHA, MINISTER"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.